A Person of Substance (Abuse)
The amount of time that opioids may take to be removed from the system
What is 5-7 days
Amitriptyline
What is a TCA
Seizures and dysrhythmias are the primary cause of death
What is TCA overdose
They may precipitate manic symptoms
What are SSRI drugs
Haloperidine, chlorpromazine
What are first generation antipsychotics
SLUDGE
What is the acronym for the cholinergic symptoms associated with opioid withdrawal
phenelzine, seligilene
What are MAOIs
Tyramine mediated hypertensive crisis
What is a disadvantage of MAOI use
0.6 to 1.2 mEq/L
What is the therapeutic range for lithium maintenannce
Clozapine, risperdol, olanzapine, aripiprazole
What are second generation antipsychotics
Wernicke's encephalopathy and Korsakoff's psychosis
What are neurological effects of chronic ethanol ingestion
Fluoxetine, citalopram
What are SSRI antidepressants
Sweating, tachycardia, agitation, tremor
135-145
What sodium level is advised for clients taking lithium
weight gain, diabetes, and dyslipidemia
What are adverse effects of atypical antipsychotics
Hepatitis, seizures, cardiomyopathy
What are symptoms of organ dysfunction related to chronic alcohol abuse.
Venlafaxine, duloxetine
What are SNRI antidepressants
anxiety, dizziness, sleep disturbance, weight gain, and sexual dysfunction,
What are adverse effects of SSRIs
Antiepileptics and Mood stabilizers
What classes of drugs are used to manage Bipolar Disorder
Major adverse effect is blood dyscrasias, esp WBC
What is clozapine
bupropion and varenicline
Name the two prescription medications available to manage smoking cessation
Bupropion
What are atypical antidepressants
Hopeless, helpless, worthless
What are the three things to ask about to screen for suicidality
gastrointestinal (GI) discomfort, tremor, confusion, somnolence, seizures, and possibly death
What are symptoms of Lithium toxicity
rigidity, sudden high fever, sweating, autonomic instability, dysrhythmias, fluctuations in blood pressure, altered level of consciousness, and seizures or coma
What are symptoms of neuroleptic malignant syndrome